Which of the following should a medical assistant note in a patient's electronic health record?
The patient reports the receptionist was rude to them.
The patient states that there is an error on their bill.
The patient states their insurance might be changing soon.
The patient reports they recently developed a strawberry allergy.
The Correct Answer is D
A. The patient reports the receptionist was rude to them. This is not relevant to the patient’s medical care and should not be documented in the health record.
B. The patient states that there is an error on their bill. Billing issues are not related to the clinical care of the patient and should not be documented in the health record.
C. The patient states their insurance might be changing soon. This is administrative information and does not pertain to the clinical aspect of the patient’s care.
D. The patient reports they recently developed a strawberry allergy. This is relevant medical information that could affect the patient’s treatment and should be documented in the health record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Subjective: The subjective section contains information reported by the patient, such as symptoms and experiences, not objective measurements.
B. Objective: Objective measurements, such as vital signs (temperature, pulse, respirations), are documented in the objective section of the health record because they are measurable and observable data.
C. Assessment: The assessment section includes the healthcare provider’s interpretation of the data and diagnosis, not the actual measurements.
D. Plan: The plan section details the proposed treatment or management strategy, not the recorded measurements.
Correct Answer is A
Explanation
A. Figure 8: The figure 8 technique provides good support and stability to joints, such as the ankle, and is effective in immobilizing and securing the bandage.
B. Recurrent: The recurrent technique is used to cover a specific area, such as a stump, rather than to support a joint.
C. Tubular: The tubular bandage technique is typically used for covering and securing dressings on limbs rather than specifically supporting joints.
D. Triangular: The triangular bandage is often used for making slings or covering larger areas but is not as effective as the figure 8 technique for joint support.
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